Dr. Bruce B Peters
Pediatrician Internist - Addiction Medicine
707 Druid Rd E
Clearwater
, Florida 33756-3913
Dr. Bruce B Peters
Pediatrician Internist - Addiction Medicine
707 Druid Rd E
Clearwater
, Florida 33756-3913
(727) 824-8134
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About
Features
Specialties
- Internist - Addiction Medicine
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Bruce B Peters
- Po Box 10549
- St Petersburg, FL
- Zip : 33733-0549
- Fax : (727) 824-8134
- Phone : (727) 824-8181
Second Address
- Dr. Bruce B Peters
- 707 Druid Rd E
- Clearwater, FL
- Zip : 33756-3913
- Fax : (727) 443-7230
- Phone : (727) 824-8181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | 10661 | FL |
| Y | 208000000X | Pediatrician | 10661 | FL |
| N | 208000000X | Pediatrician | 242970 | NY |
| N | 208000000X | Pediatrician | DO 110214 | MO |
National Provider Identifier
| NPI | 1538108758 |
|---|---|
| Provider Name | Dr. Bruce B Peters |
| First Address | St Petersburg, FL 33733-0549 |
| Second Address | Clearwater, FL 33756-3913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 24/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001203800 | (05) | FL |
| 248476020 | (05) | MO |
| 248476038 | (05) | NY |
| D16535 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.